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RCM 871015 <br /> REMARKS: <br /> T . Name of Company <br /> Signature - - <br /> Typed Name _ <br /> of_ Signer . <br /> Title <br /> Legal Address <br /> Business Phone <br /> State whether the Bidder is sole proprietor, a partnership or a corporation, and if a <br /> corporation, the state in which it is incorporated. <br /> Date <br /> -(Corporate Seal - If Bid is by a corporation) - <br /> FA <br /> Attest <br /> 00300-4 <br />